If you answered “yes” to any of the six questions above, please explain the circumstances below. Attach a second sheet if necessary.
______________________________________________________
Eligiblity Requirements:
1. Return home to permanent residence in Guilford County for the summer.
2. Enrolled in a University outside of Guilford County during current spring semester
3. Submit Waiver by checking box: Yes requesting Waiver
IF ADDITIONAL INFORMATION IS NEEDED, THE APPLICANT WILL BE NOTIFIED.
Website (NCAT) Brochure/Flyer Newspaper
Friend/Family
Radio/Television Email/Letter Social Media
Other _________________
By signing this application, I agree to abide by the policies and regulations of North Carolina A&T State University and to the best of my knowledge, the information I have given is
true. I understand that any misrepresentation of facts on this application will be cause for refusal of admission, cancellation of admission, or suspension from the University.
Your "yes" answer to one or more of the following questions will not necessarily preclude your being admitted. However, your failure to provide complete,
accurate and truthful information will be grounds to deny or withdraw your admission, or to dismiss you after enrollment. For the purpose of the following six
questions, “crime” or criminal charge” refers to any crime other than a traffic-related misdemeanor or an infraction. You must, however, include alcohol or drug
offenses whether or not they are traffic related.
HOME FOR THE SUMMER - FEE WAIVER
(Limited to the first 50 Validated Students)
You must promptly notify the Admissions Office in writing of any criminal charge, any disposition of a criminal charge, or any school, college, or university
To help better serve you, we need to know how did you hear about us. Please check all that apply:
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disciplinary action against you, or any type of military discharge other than an honorable discharge that occurs at any time after you submit this application.
Your failure to do so will be grounds to deny or withdraw your admission, or to dismiss you after enrollment.
1) Have you been convicted of a crime? ( Yes ) No
2) Have you ever entered a plea of guilty, a plea of no contest, a plea of nolo contendere, or an Alford plea, or have you received a
deferred prosecution or prayer for judgement continued, to a criminal charge? (
Yes ) No
3) Have you otherwise accepted responsibility for the commission of a crime? Yes No
4) Do you have any criminal charges pending against you? ( Yes No
5) Have you ever been expelled, dismissed, suspended, placed on probation, or otherwise subject to any disciplinary sanction by any
school, college, or university? Yes No
6) If you have ever served in the military, did you receive any type of discharge other than an honorable discharge? ) Yes ) No
( ) Currently Serving ( Never Served
N.C. A&T does not discriminate against employees, students, or applicants on the basis of age, color, disability, gender, gender identity, gender expression, national
origin, political affiliation, race, religion, sexual orientation, genetic information, veteran status, or any other basis protected by law.
Thank you for applying to North Carolina A&T for your summer classes. You may submit your application and make your payment online here. We will
register you in the classes once your application is processed and we have received the signed course request form located below.
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